Campbell Station Primary Care Assoc

LBN: Advantage Family Healthcare, Pllc
Campbell Station Primary Care Assoc is an health care organization with primary practice located at 11541 Kingston Pike Ste 101, Knoxville TN 37934-3918. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Advantage Family Healthcare, Pllc can be contacted via phone (865) 675-7522, or through Martin, Robert Michael via phone (865) 675-7522.

Contact Information

Primary practice address
11541 Kingston Pike Ste 101 Knoxville TN 37934-3918
Phone: (865) 675-7522
Fax: (865) 671-3196
Website:
Map and Directions
Authorized official contact:
Name: Martin, Robert Michael MS, CFNP
Phone: (865) 675-7522

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN7953 Tennessee

Profile Details

NPI number 1184629735
LBN Legal business name Advantage Family Healthcare, Pllc
DBA Doing business as Campbell Station Primary Care Assoc
Authorized official Martin, Robert Michael MS, CFNP
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2005
Last updated May 3rd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184629735 NPPES
Tennessee MEDICAID 3908484
Tennessee Other 44D0993636
Tennessee Other 1659403590
Tennessee Other 1922004159

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